How to Choose the Best ADHD Medication for Adults With Anxiety and Depression When a person has both ADHD and depression or anxiety treating one condition usually improves the other. Mental health professionals often prescribe antidepressants or a stimulant for depression, along with an ADHD medication. Wellbutrin (bupropion) and Effexor (venlafaxine) are the most commonly used antidepressants that are prescribed "off-label" for ADHD. These medications increase levels of neurotransmitters like norepinephrine and dopamine, which aid in improving concentration. 1. Methylphenidate Methylphenidate is the most popular medication for adults with ADHD, anxiety, or depression. It's part of a group known as central nervous stimulants. It affects the quantity of certain natural substances within your brain. It is available as a tablet, liquid chewable tablets, extended-release capsules. It can be administered through the skin. It is not unusual for people who suffer from ADHD also to suffer from mood disorders like depression or anxiety. You should inform your doctor about any depression or anxiety you might be suffering from. Certain medications, specifically stimulants, can make these conditions worse. In certain situations, you might require both a medication to treat anxiety and a stimulant drug. Methylphenidate can have side effects, such as headaches and stomachaches. It may also raise your heart rate and blood pressure which is why you should maintain regular appointments with your doctor to check these. It may also trigger facial ticks (uncontrollable, rapid movements of the face). People with phenylketonuria (a genetic condition) who are unable to process the chemical phenylalanine shouldn't take it. It is also dangerous to take during pregnancy or breastfeeding, so inform your doctor if you are expecting or planning to become pregnant. You should not drive or operate machinery while taking methylphenidate. It can cause dizziness as well as blurred vision. You should drink plenty of fluids while taking this medication. If you have problems taking tablets, ask your doctor about extended-release capsules or orally disintegrating tablets. Do not crush or chew these medicines. If you are having difficulty eating solid food, ask your doctor about liquid medicines that can be mixed into soft foods or drinks, such as applesauce yogurt, or pudding. 2. Lisdexamfetamine Lisdexamfetamine is a medicine in the central nervous system stimulant family. It affects the quantity of certain natural substances in the brain. It is used to treat ADHD in children and adults who are aged 6 years and over. It can also be used to treat binge eating disorders for adults. Adults suffering from ADHD typically suffer from comorbid anxiety and depression. It is essential to treat these disorders so that they can feel better and perform their best, both at work and at home. Certain medications commonly used to treat mental health issues may interact with ADHD medication, which is why it is important to disclose any other medical issues you might have. Depression and anxiety are both complex conditions, as they involve a variety of symptoms. Antidepressants such as Wellbutrin, Effexor, or Venlafaxine are commonly prescribed to treat these conditions. They can also improve focus and concentration for those with ADHD/ADHD. They work by increasing certain neurotransmitters inside the brain. They are low-risk for abuse and misuse. In studies of LDX in adults with ADHD and depression, the medication showed promising results. It reduced the symptoms of anxiety and depression, and it improved ADHD ratings and executive function tests. It was also safe to use. Tell your doctor about any other medications are being taken for example, MAO inhibitors, such as isocarboxazid or linezolid, as well as methylene blue (Nardil) and phenelzine. selegiline, Emsam (Zelapar), or tranylcypromine. These medications are not recommended to be taken within 14 days of taking lisdexamfetamine. Consult your physician that you are allergic to lisdexamfetamine or any of the other ingredients in this medication. 3. Atomoxetine Atomoxetine (Strattera) is a non-stimulant ADHD medication that is also used to treat depression. It is believed to work by preventing the reuptake of norepinephrine, a neurotransmitter. The drug boosts levels of this chemical in the brain to improve alertness, decrease anxiety and depression symptoms. This medication is not recommended to be used as a sole treatment for anxiety disorders. Instead it is recommended that an individual seek treatment from a licensed psychiatrist and/or therapist. There have been a variety of studies that have been conducted to examine the effects of atomoxetine on patients with ADHD and anxiety disorders. These studies include 9 controlled studies that are randomized and two post-hoc subgroup studies. In the majority of cases, both improvement in symptom and cognition function were more accurately measured with atomoxetine than placebo. It is important to remember that the sample size in these studies was very small. The medication is also known to cause a few side effects, such as abdominal pain as well as a high heart rate. These effects are typically minor and are not seen in all people who take the medication. In some cases, people who take atomoxetine report thoughts of suicide. These thoughts were observed in short-term clinical trials involving adolescents and children who took the drug. However, suicides did not occur in these trials. Like stimulants, atomoxetine can be effective in treating co-occurring ADHD and anxiety. In a recent study, atomoxetine proved to be more effective than placebo when treating adults suffering from social anxiety disorder and ADHD. This is a promising outcome that suggests that this medication could be effective in treating ADHD and anxiety when combined with other treatments for both disorders. It will take further research to determine if atomoxetine can be also effective for other types comorbid anxiety disorders. 4. Bupropion Bupropion, a non-stimulant drug, increases the amount of noradrenaline that is found in the brain. This chemical transmits messages between brain cells and boosting it can help concentration and control impulses. Your doctor may offer you this drug in capsule form typically taken once or twice a day. There are also some serious side effects, such as suicidal thoughts or liver damage. Anxiety is a condition that causes persistent, intense anxiety and a sense of restlessness. It can trigger symptoms such as stomachaches, headaches and breath shortness, and feelings like dread or fear. Many people suffering from anxiety disorders struggle with controlling their symptoms despite trying to reduce them. Certain people suffering from ADHD also develop anxiety. The condition can lead to emotional and relationship problems and low self-esteem. Signs of untreated ADHD include the inability to pay attention, forgetfulness and impulsive behaviorcan also result in feelings of frustration or failure. Stimulants such as lisdexamfetamine and methylphenidate can help ease anxiety symptoms, and so can non-stimulant drugs like atomoxetine (Strattera) and viloxazine (Qelbree). High blood pressure medications such as clonidine, (Kapvay) and guanfacine, (Intuniv or Tenex) can be used to treat ADHD in adults. However, these drugs work differently from stimulants. Although antidepressants haven't been approved by the FDA to treat ADHD Your doctor could prescribe them alone or along with a stimulant. However, they are typically not prescribed to adolescents or children. Psychotherapy is a third treatment option. Talking to a mental health professional can be beneficial in treating both anxiety and ADHD. Making visit the following page to your routine and habits can help manage these conditions. You can, for example, try meditating or doing yoga, managing your insomnia and stress levels and adding exercise into your daily routine. 5. Tricyclic antidepressants In some cases an expert in mental health may suggest antidepressants as part of your treatment plan. They're not approved by the FDA to treat ADHD but they may sometimes help alleviate symptoms of depression and anxiety if taken alongside stimulants. Antidepressants increase serotonin levels as well as norepinephrine production in the brain. They can therefore help to alleviate anxiety and depressive symptoms. Selective serotonin reuptake inhibiters, such as fluoxetine(Prozac), citalopram(Celexa) and escitalopram(Lexapro) boost the levels of the neurotransmitter serotonin in your brain to boost your mood and decrease anxiety. Serotonin-norepinephrine reuptake inhibitors -- such as mirtazapine (Remeron) and nefazodone (Serzone) -- also lift your mood by increasing the amount of norepinephrine and serotonin that your brain's chemical messengers release. Tricyclic antidepressants first came into use as antipsychotics, but later discovered to possess powerful antidepressant properties. These drugs include imipramine (Tofranil), amitriptyline (Elavil) and nortriptyline (Pamelor). Tricyclics can also reduce a person's sensitivity to noise, improve sleep and lower blood pressure. They can cause drowsiness therefore, those who are taking them should stay away from driving or operating equipment that is dangerous until they are aware of how they will react to the medication. Exercise taking enough rest, and eating a diet rich in fruits, vegetables and whole grains could all help to improve ADHD and anxiety symptoms. Mindfulness practices and other forms of therapy like cognitive behavior therapy can help reduce stress and boost happiness. If you're struggling to manage your anxiety and ADHD, Klarity can connect you with licensed providers for convenient, insurance-free online mental health care. Find out more information and make an appointment today.
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